Leggett, Jonathan L.

Leggett, Jonathan L. is an individual health care provider with primary practice located at 303 S First St , Gallup NM 87301-6211. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Leggett, Jonathan L. can be contacted via phone (505) 397-7197.

Contact Information

Primary practice address
303 S First St Gallup NM 87301-6211
Phone: (505) 397-7197
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 99045855A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1279 New Mexico
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 1279 New Mexico

Profile Details

NPI number 1831497783
LBN Legal business name Leggett, Jonathan L.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2011
Last updated Jun 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831497783 NPPES
Indiana MEDICAID 201050210

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